Alisa L Williams
Douglasville,GA
Overview
20
20
years of professional experience
Work History
PAS Supervisor Outpatient
WellStar Health Plan
02.2022 - Current
- Collecting information such as patient details, billing and insurance information
- Providing patients with billing and payment information
- Entering information into Epic for Consents to be e-signed by patient
- Assisting patients with questions, concerns, and issues
- Works denial and collections thru Supervisor workque
Collections Specialist
Bako Pathology Services
04.2018 - 10.2022
- Sorted, Coded, and matched invoices set invoices up for payment
- Follow up on claim denials and initiates and appeals to all appeal levels
- Posts payments, adjustments, denials, and recoupments
- Resolve credit balances in the medical billing system (via refund, take back, request adjustments
- Applies and posts all daily cash from bank lockbox, credit cards payments, and wire payments
- Research unapplied cash by contacting insurance companies
- Back-up for Customer Service
- Responsible for training new collectors on all policies and procedures
- Responsible for arranging self-pay payments and arranging payment plans for outstanding balances
- Responsible for entering charges daily
- Negotiates (LOA) letter of agreements from insurance
Patient Financial Counselor/ ER –Part-time weekends
Northside Hospital Forsyth
01.2020 - 02.2022
- Responsible for arranging self-pay payments and arranging payment plans for outstanding balances
- Coordinates full patient financial counseling
- Responsible for promptly and efficiently responding to patient inquiries regarding charges for ER
- Collects all estimate patient liability, including co-payments and unmet deductibles before or after TOS
- Verifies credit card payments thru Wells Fargo
- Responsible for setting-up payment plans or arrangements
- Offers patient 75 to 65 percent discount if patient is Self-Pay Patient
Collections Specialist for BCBS
Piedmont Healthcare
06.2019 - 01.2021
- Followed-up on denied claims and appeals
- Post payments, adjustments, denials, and take backs
- Resolved credit balances in the medical billing system (via refund, take back, request adjustments
- Applied and posted all daily cash from bank lockbox, credit cards payments, and wire payments
- Researched unapplied cash by contacting insurance company
- Reviewed all denied claims and communicates with insurance carriers of unpaid claims and underpayments
- Verified all insurance
Collections Specialist/Workers Comp/MVA Coordinator
In Compass Health
06.2018 - 06.2019
- Reviewed and verified invoices and check requests
- Followed-up on denied claims and appeals for ED visits as well as Worker’s Comp
- Post payments, adjustments, denials, and take backs
- Resolved credit balances in the medical billing system (via refund, take back, request adjustments, and 0 paid claims)
- Applied and posted all daily cash from bank lockbox, credit cards payments, and wire payments
- Research unapplied cash by contacting insurance company
- Provided back-up for Customer Service
- Responsible for training new collectors
- Responsible for arranging self-pay payments and arranging payment plans for outstanding balances
- Reviewed all denied claims and communicates with insurance carriers of unpaid claims
- Negotiated (LOA) letter of agreements from insurance companies
- Verified all insurance
- Reviewed and edit all claims
- Worked special projects for Medicaid- KY and BCBS- KY
Centralized Workers Comp Coordinator
U.S Health Works
01.2018 - 06.2018
- Company Overview: Company Sold
- Processed requests for authorization in accordance with company policy utilizing e-referral application
- Updated e-referral application to ensure current status of all referrals
- Managed pending referrals to expedite approval, UR, denials in accordance with Adjusters, state and company guidelines
- Scheduled appointments for Workers Comp patients upon receipt/confirmation of authorization from referral source
- Ensures providers and referral entities are approved providers per state provider/facility panels
- Notified Workers Comp patients of all appointments, coordinates with center staff to ensure all required information is coordinated with patient, provider, Adjuster & clinic
- Interfaced with clinic and specialists’ offices as necessary to coordinate surgery appointments and to address other issues as necessary
- Escalated pertinent issues to management to ensure timely referral approvals and scheduling of patients in accordance with company policy
- Ensured adherence to company policies and procedures, including confidentiality, privacy and HIPPA
- Meet or exceeded timelines for work assignments and inform supervisor of work status and progress
- Maintained high level of professionalism and customer service in all interactions with all related parties
- Company Sold
Insurance Follow-up/Claims Resolution
Hollis Cobb
10.2017 - 12.2017
- Company Overview: (TEMP)
- Followed-up on denied claims and appeals
- Posted payments, adjustments, denials, and take backs
- Resolved credit balances in the medical billing system (via refund, take back, request adjustments
- Applied and post all daily cash from bank lockbox, credit cards payments, and wire payments
- Research unapplied cash by contacting insurance company
- Provided back-up for Customer Service
- Trained new collectors on all policies and procedures
- Responsible for arranging self-pay payments and arranging payment plans for outstanding balance
- (TEMP)
Collections Specialist
Bioscrip Infusion Services
09.2012 - 04.2013
- Company Overview: Relocated to GA
- Posted payments, adjustments, denials, take backs
- Posted and balanced batches to take totals
- Post payments to patients accounts by reading EOB (explanation of benefits through the medical billing system
- Resolved credit balances on the medical billing system (e-cash) via refund, take back, request adjustment
- Applied and posted all daily cash from bank lockbox, credit card payments, wire payments, heavy volume daily
- Researched unapplied cash by contacting Insurance company
- Negotiated (LOA) letter of agreements from insurance companies
- Relocated to GA
Workers Comp /MVA Coordinator/Personal Injury
Peachtree Spine Specialist
06.2010 - 04.2012
- Coordinated and scheduled appointments, verified insurance, and responded to patient inquiries
- Received approval for all personal injury surgeries, ESI injections, EMG testing, Psychological evaluations, Facet injections, Physical therapy and DME supplies
- Scheduled new lien, Worker’s comp, and Commercial insurance appointments
- Initiated AR reports by totaling unpaid invoices, debits, credits, and outstanding invoices
- Coordinated monthly transfer to accounts receivable account
Utilization Review Coordinator
Mount Kisco Medical Group
03.2005 - 08.2010
- Company Overview: Relocated to GA
- Billed and pre-certified all inpatient and outpatient medical test (CT scans, MRI’s, Venograms, Myelograms, Psychological evaluations and medications
- Handled HMO/PPO, Workers Compensation, no fault, third party and private pay accounts
- Scheduled, processed all incoming referrals, verified insurance, and obtained authorizations for all procedures
- Researched and provided confidential clinical data for nurses, scheduling medical deliveries, processing laboratory and radiology tests, explaining insurance procedures and benefits eligibility to patient’s, updating account records, and special projects
- Served acted as liaison between patients and clinical teams
- Relocated to GA
Education
Diploma -
Mount Vernon School
Associates Degree - Liberal Arts
Saint Leo University
01.2019
Skills
- MS Word
- Medical Manager
- Micro-MD
- Athena-Net
- Orders Management
- Vision Optimum
- Medic
- Code link
- Medicare-CGS
- Centricity
- OneHealthPort
- Epic
- All Scripts
- Clinical Module
- Google Calendar
- Nextgen
- Misys Tiger
- Florida Shares
- Zirmed
- Transworld
- XIFIN
- Navi Net
- Availity
- Emdeon
- Greenway
- McKesson
- Passport
- Star
- FACS
- One-Content
- Salesforce
- Instamed
- E-Clinical
- Cerner
- Financial Estimated Tool
- Patient-Co
- Medistream
Key Career Accomplishments
- WellStar Health Plan, Kennesaw, GA, PAS Supervisor Outpatient – Camp Creek Imaging Center, 02/22/22, Present, Collecting information such as patient details, billing and insurance information, Providing patients with billing and payment information, Entering information into Epic for Consents to be e-signed by patient, Assisting patients with questions, concerns, and issues, Works denial and collections thru Supervisor workque
- Bako Pathology Services, Alpharetta, GA, Collections Specialist, 04/02/18, 10/22, Sorted, Coded, and matched invoices set invoices up for payment, Follow up on claim denials and initiates and appeals to all appeal levels, Posts payments, adjustments, denials, and recoupments, Resolve credit balances in the medical billing system (via refund, take back, request adjustments), Applies and posts all daily cash from bank lockbox, credit cards payments, and wire payments, Research unapplied cash by contacting insurance companies, Back-up for Customer Service, Responsible for training new collectors on all policies and procedures, Responsible for arranging self-pay payments and arranging payment plans for outstanding balances, Responsible for entering charges daily, Negotiates (LOA) letter of agreements from insurance
- Northside Hospital Forsyth, Cumming, GA, Patient Financial Counselor/ ER –Part-time weekends, 01/13/20, 02/22, Responsible for arranging self-pay payments and arranging payment plans for outstanding balances, Coordinates full patient financial counseling, Responsible for promptly and efficiently responding to patient inquiries regarding charges for ER, Collects all estimate patient liability, including co-payments and unmet deductibles before or after TOS, Verifies credit card payments thru Wells Fargo, Responsible for setting-up payment plans or arrangements, Offers patient 75 to 65 percent discount if patient is Self-Pay Patient
- Piedmont Healthcare, Vining, GA, Collections Specialist for BCBS, 06/19, 01/21, Followed-up on denied claims and appeals, Post payments, adjustments, denials, and take backs, Resolved credit balances in the medical billing system (via refund, take back, request adjustments), Applied and posted all daily cash from bank lockbox, credit cards payments, and wire payments, Researched unapplied cash by contacting insurance company, Reviewed all denied claims and communicates with insurance carriers of unpaid claims and underpayments, Verified all insurance
- In Compass Health, Alpharetta, GA, Collections Specialist/Workers Comp/MVA Coordinator, 06/18, 06/19, Reviewed and verified invoices and check requests, Followed-up on denied claims and appeals for ED visits as well as Worker’s Comp, Post payments, adjustments, denials, and take backs, Resolved credit balances in the medical billing system (via refund, take back, request adjustments, and 0 paid claims), Applied and posted all daily cash from bank lockbox, credit cards payments, and wire payments, Research unapplied cash by contacting insurance company, Provided back-up for Customer Service, Responsible for training new collectors, Responsible for arranging self-pay payments and arranging payment plans for outstanding balances, Reviewed all denied claims and communicates with insurance carriers of unpaid claims, Negotiated (LOA) letter of agreements from insurance companies, Verified all insurance, Reviewed and edit all claims, Worked special projects for Medicaid- KY and BCBS- KY
- U.S Health Works, Alpharetta, GA, Centralized Workers Comp Coordinator, 01/18, 06/18, Processed requests for authorization in accordance with company policy utilizing e-referral application, Updated e-referral application to ensure current status of all referrals, Managed pending referrals to expedite approval, UR, denials in accordance with Adjusters, state and company guidelines, Scheduled appointments for Workers Comp patients upon receipt/confirmation of authorization from referral source, Ensures providers and referral entities are approved providers per state provider/facility panels, Notified Workers Comp patients of all appointments, coordinates with center staff to ensure all required information is coordinated with patient, provider, Adjuster & clinic, Interfaced with clinic and specialists’ offices as necessary to coordinate surgery appointments and to address other issues as necessary, Escalated pertinent issues to management to ensure timely referral approvals and scheduling of patients in accordance with company policy, Ensured adherence to company policies and procedures, including confidentiality, privacy and HIPPA, Meet or exceeded timelines for work assignments and inform supervisor of work status and progress, Maintained high level of professionalism and customer service in all interactions with all related parties
- Hollis Cobb, Duluth, GA, Insurance Follow-up/Claims Resolution, 10/17, 12/20/17, Followed-up on denied claims and appeals, Posted payments, adjustments, denials, and take backs, Resolved credit balances in the medical billing system (via refund, take back, request adjustments), Applied and post all daily cash from bank lockbox, credit cards payments, and wire payments, Research unapplied cash by contacting insurance company, Provided back-up for Customer Service, Trained new collectors on all policies and procedures, Responsible for arranging self-pay payments and arranging payment plans for outstanding balance
- Bioscrip Infusion Services, Morris Plains, NJ, Collections Specialist, 09/12, 04/13, Posted payments, adjustments, denials, take backs, Posted and balanced batches to take totals, Post payments to patients accounts by reading EOB (explanation of benefits through the medical billing system), Resolved credit balances on the medical billing system (e-cash) via refund, take back, request adjustment, Applied and posted all daily cash from bank lockbox, credit card payments, wire payments, heavy volume daily, Researched unapplied cash by contacting Insurance company, Negotiated (LOA) letter of agreements from insurance companies
- Peachtree Spine Specialist, Atlanta, GA, Workers Comp /MVA Coordinator/Personal Injury, 06/10, 04/12, Coordinated and scheduled appointments, verified insurance, and responded to patient inquiries, Received approval for all personal injury surgeries, ESI injections, EMG testing, Psychological evaluations, Facet injections, Physical therapy and DME supplies, Scheduled new lien, Worker’s comp, and Commercial insurance appointments, Initiated AR reports by totaling unpaid invoices, debits, credits, and outstanding invoices, Coordinated monthly transfer to accounts receivable account
- Mount Kisco Medical Group, Mount Kisco, NY, Utilization Review Coordinator, 03/05, 08/10, Billed and pre-certified all inpatient and outpatient medical test (CT scans, MRI’s, Venograms, Myelograms, Psychological evaluations and medications), Handled HMO/PPO, Workers Compensation, no fault, third party and private pay accounts, Scheduled, processed all incoming referrals, verified insurance, and obtained authorizations for all procedures, Researched and provided confidential clinical data for nurses, scheduling medical deliveries, processing laboratory and radiology tests, explaining insurance procedures and benefits eligibility to patient’s, updating account records, and special projects, Served acted as liaison between patients and clinical teams
Timeline
PAS Supervisor Outpatient
WellStar Health Plan
02.2022 - Current
Patient Financial Counselor/ ER –Part-time weekends
Northside Hospital Forsyth
01.2020 - 02.2022
Collections Specialist for BCBS
Piedmont Healthcare
06.2019 - 01.2021
Collections Specialist/Workers Comp/MVA Coordinator
In Compass Health
06.2018 - 06.2019
Collections Specialist
Bako Pathology Services
04.2018 - 10.2022
Centralized Workers Comp Coordinator
U.S Health Works
01.2018 - 06.2018
Insurance Follow-up/Claims Resolution
Hollis Cobb
10.2017 - 12.2017
Collections Specialist
Bioscrip Infusion Services
09.2012 - 04.2013
Workers Comp /MVA Coordinator/Personal Injury
Peachtree Spine Specialist
06.2010 - 04.2012
Utilization Review Coordinator
Mount Kisco Medical Group
03.2005 - 08.2010
Diploma -
Mount Vernon School
Associates Degree - Liberal Arts
Saint Leo University
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